Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone and Gracilis Tendon Graft: A Comparative Study With 2-Year Follow-up Results of Semitendinosus Tendon Grafts Alone or Semitendinosus–Gracilis Tendon Grafts

Niki, Yasuo; Matsumoto, Hideo; Hakozaki, Akihiro; Kanagawa, Hiroya; Toyama, Yoshiaki; Suda, Yasunori

doi:10.1016/j.arthro.2011.03.086

Cited by 35 publications

(44 citation statements)

References 33 publications

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“…According to the recent systematic review of randomized controlled trials (RCTs), among 16 RCTs focusing on anterior knee pain, 7 RCTs revealed that BTB graft was inferior to the hamstring (HT) graft in terms of anterior knee pain, whereas 9 RCTs found an equivalent prevalence of anterior knee pain between BTB and HT grafts [20], suggesting that etiologies other than donor-site morbidity might contribute to the development of postoperative anterior knee pain. Moreover, one report revealed that the contribution of donor-site morbidity to postoperative anterior knee pain changed with time [3].…”

Section: Introductionmentioning

confidence: 97%

Factors affecting anterior knee pain following anatomic double-bundle anterior cruciate ligament reconstruction

Niki

Hakozaki

Iwamoto

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 97%

Factors affecting anterior knee pain following anatomic double-bundle anterior cruciate ligament reconstruction

Niki

Hakozaki

Iwamoto

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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“…A possible explanation for this discrepancy is evident owing to different assessment methods. With no agreement on exact diagnostic criteria, investigators have diagnosed anterior knee symptoms with their own methods (Tsuda et al, 2001;Niki et al, 2011) or systems such as the IKDC score (Aglietti et al, 1993), patellofemoral pain score (Eriksson et al, 2001) or Kujala patellofemoral score (the Anterior Knee Pain Scale) (Ibrahim et al, 2005). Among these, we selected the Anterior Knee Pain Scale and VAS.…”

Section: Discussionmentioning

confidence: 99%

“…ACL reconstruction is currently one of the most common surgical procedures in sports medicine and has yielded promising clinical results for patients with ACL injuries (Lewis et al 2008). However, a substantial number of postoperative complications may occur after ACL reconstruction, including a range of motion (ROM) deficits, quadriceps weakness; hamstring weakness and lower knee function (Kartus et al, 2001;Tsuda et al, 2001;Lautamies et al, 2008;Niki, Matsumoto et al 2011;Niki, Hakozaki et al, 2012;Nomura, Kuramochi et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal Complication Following Arthroscopy Anterior Cruciate Ligament Reconstruction 6 Months Post-operatively

et al. 2018

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Background and Objective: Muscle strength deficits have usually been found after ACL reconstruction. Some studies have demonstrated a relationship between lower extremity muscle strength and the single-leg hop test in the ACL reconstructed knees. The aim of this study is to evaluate possible differences in lower limbs including function, muscle strength length and anterior knee pain, 6 months after anterior cruciate ligament (ACL) reconstruction between involved and uninvolved side. Methods: Sixty patients who underwent anatomic double bundle ACL reconstruction were examined 6-36 months post-operatively. All subjects had undergone the same rehabilitation protocol after ACL reconstruction. Lower extremity isometric strength, muscle length and Triple Single-leg hop test were assessed. Measurements were performed 3 times within a 2-minute interval. The normal limb was tested before the operated limb. The peak strength value was normalized by the body weight. Results: In the Single-leg hop test there was statistically significant difference in the lower limbs comparing the involved with the uninvolved knee (P < 0.001). In the Tensor Fascia Lata-Ilio Tibial Band (ITB/TFL) length, there was statistically significant difference in the lower limbs (P < 0.001). In the isometric knee flexion strength there was statistically significant difference in the lower limbs at 90° (P < 0.001) and 105° (P < 0.001) knee flexion. In the isometric knee extension strength there was statistically significant difference in the lower limbs at 5° (P < 0.001), 45° (P = 0.025) and 90° (P = 0.003) knee flexion. In the isometric hip abduction, internal rotation and plantar flexion strengths there were statistically significant difference in the lower limbs (P < 0.001). There was statistically significant correlation between isometric muscle strength ratio (involved vs. uninvolved) and Single-leg hop test in hip abduction (r = 0.345, P < 0.001) , knee extension at 45° (r = 0.245, P = 0.05) and at 90° (r = 0.379, P = 0.002) knee flexion and between isometric muscle strength ratio and anterior knee pain in hip abduction (r = 0.345, P = 0.03) , knee extension at 90° (r = 0.311, P = 0.009) and at 5° (r = 0.272, P = 0.023) knee flexion. Conclusion: Our study shows that after ACL reconstruction, lower limb function and strength deficit remained despite the completion of rehabilitation. These deficits were found at knee, hip and ankle joints. The present results can be used for re-planning rehabilitation protocol.

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“…60 The structural strength of a hamstring tendon graft, with all four strands equally tensioned at time zero (4590 N), is superior to that of a 10-mm bone-patellar tendon-bone graft (2977 N). 60 The structural strength of a hamstring tendon graft, with all four strands equally tensioned at time zero (4590 N), is superior to that of a 10-mm bone-patellar tendon-bone graft (2977 N).…”

Section: Definitive Argument About Available Graft Choicesmentioning

confidence: 99%

Graft selection in ACL reconstructive surgery

Oryan

Moshiri

Meimandi-Parizi

2013

Current Orthopaedic Practice

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Anterior cruciate ligament (ACL) tear is a frequent orthopaedic injury. ACL reconstruction, both in humans and animals, is more developed than in past decades. Many experimental and clinical trial studies have been performed, using various grafts with several different techniques, aiming to improve ACL reconstruction. However, there is still a large gap between the present treatment modalities and the final outcome in patients who have had ACL reconstructive surgery. The autograft bonepatellar tendon-bone complex and hamstring tendon grafts are the gold standard graft types for ACL reconstruction. This review introduces graft options and discusses advantages, disadvantages, and outcomes. Bone tunnel healing, strategies to enhance the bone tunnel healing, and the future of ACL reconstruction also are briefly described.

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Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone and Gracilis Tendon Graft: A Comparative Study With 2-Year Follow-up Results of Semitendinosus Tendon Grafts Alone or Semitendinosus–Gracilis Tendon Grafts

Cited by 35 publications

References 33 publications

Factors affecting anterior knee pain following anatomic double-bundle anterior cruciate ligament reconstruction

Factors affecting anterior knee pain following anatomic double-bundle anterior cruciate ligament reconstruction

Musculoskeletal Complication Following Arthroscopy Anterior Cruciate Ligament Reconstruction 6 Months Post-operatively

Graft selection in ACL reconstructive surgery

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